Provider Demographics
NPI:1881693406
Name:FOUSHEE, LEIGH LILES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:LILES
Last Name:FOUSHEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 MAL WEATHERS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-7855
Mailing Address - Country:US
Mailing Address - Phone:919-696-0608
Mailing Address - Fax:919-567-7430
Practice Address - Street 1:1371 E BROAD ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-1966
Practice Address - Country:US
Practice Address - Phone:919-696-0608
Practice Address - Fax:919-567-7430
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC155451835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy